| NPI | 1124904974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERWIN BARVARZ Sole Member/Owner 310-620-6030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2025-08-14 |
| Last Update Date | 2025-08-14 |